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Correlation of Ominous Fetal Heart Rate Pattern and Scalp Blood pH with One‐Minute Apgar Score
Author(s) -
Ayromlooi Jahangir,
Tobias Mitchell,
Berg Peter
Publication year - 1979
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/j.1879-3479.1979.tb00145.x
Subject(s) - medicine , apgar score , scalp , fetus , fetal heart rate , anesthesia , fetal distress , obstetrics , heart rate , pregnancy , surgery , blood pressure , genetics , biology
Fetal monitoring data were analyzed in 176 labors that developed ominous fetal heart rate deceleration patterns (FHRDP) during the two hours prior to delivery in an effort to identify how neonatal condition could be most accurately predicted. It was found that ominous FHRDP corresponded to a one‐minute Apgar score of 6 or less in only 15.3% of cases. When patterns with fetal scalp blood pHs (FSBpH) of ≤7.20 (n = 18) were considered, 44.4% had an Apgar score of 6 or less. Mean Apgar scores for those neonates who had a pH of ≤7.20 were significantly less than the mean Apgar score of the control group (p < 0.001 for all deceleration types). The result reveals that FSBpH has a better predictive value than FHRDP alone for neonatal depression. It is suggested that, as soon as ominous FHRDP occurs during labor, FSBpH be performed to assess not only fetal status but also to predict neonatal outcome.